| VIRTUAL GALLERY |
| Required
information |
| (please check boxes
if you would like the information to appear in your
site.) |
| Name of your web
site: |
| http://www.PSHcanada.com/gallery/______________(you
fill in the blank, no spaces ) |
| Classification
of work (eg. pottery, sculpture, tile, blown glass,
etc.): |
| _________________________________________________________________________ |
| |
 Contact people:
_____________________________________________________________________
|
| |
| Address: |
| ____________________________________________________________________________________ |
| ____________________________________________________________________________________ |
| |
| Phone #:
___________________________________________________________________________ |
| |
| Fax #:
_____________________________________________________________________________ |
| |
| E-mail
address:
______________________________________________________________________ |
| |
| Studio
address: |
| _____________________________________________________________________________________ |
| _____________________________________________________________________________________ |
| |
| 4 Other
galleries/stores where your work can be seen (5 if
you do not have a studio of your own): |
| |
| 1.____________________________________________________________________________________ |
| _____________________________________________________________________________________ |
| |
| 2.____________________________________________________________________________________ |
| _____________________________________________________________________________________ |
| |
| 3.____________________________________________________________________________________ |
| _____________________________________________________________________________________ |
| |
| 4.____________________________________________________________________________________ |
| _____________________________________________________________________________________ |
| |
| 5.( if
applicable
)_________________________________________________________________________ |
| _____________________________________________________________________________________ |
 Photo Information
Page |